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Clotting-regulation Protein Blood Test

Rhode Island rates for HCPCS 85303

This is a blood test that checks one of the body's natural proteins that help keep blood clotting in balance. It's typically ordered as part of a work-up for someone who has had an unexplained or recurrent blood clot, to see whether a deficiency in this protein might be contributing. It's usually run alongside related tests looking at other clot-regulating proteins.

Rates data updated July 2026.

How much does Clotting-regulation Protein Blood Test cost?

$16.98

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$10.47 to $14.45
FacilityA hospital or hospital-owned outpatient department$79.43$28.18 to $87.10

How much rates vary

Facilitymedian $79 · 10th to 90th $17 to $126Professionalmedian $14 · 10th to 90th $9 to $28
$10$20$50$100facility $79professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$14.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.47
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$33.11
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$27.54

Where Rhode Island sits

The same service costs 7.4 times more in West Virginia than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 30th of 51

$16.98

WV $89.13MD $12.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.